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[Simultaneous nasal reconstruction and facial defect repair using expanded forehead flap]
Zhonghua Zheng Xing Shao Shang Wai Ke Za Zhi = Zhonghua Zheng Xing Shao Shang Waikf [I.E. Waike] Zazhi = Chinese Journal of Plastic Surgery and Burns
|September 1, 1995
Summary
This study presents a dual-purpose expanded forehead flap for simultaneous nose reconstruction and facial defect repair. The technique yielded satisfactory results in four patients, demonstrating its effectiveness in complex facial reconstruction.
Area of Science:
- Plastic Surgery
- Reconstructive Surgery
- Craniofacial Surgery
Background:
- Simultaneous reconstruction of the nose and adjacent facial defects presents a surgical challenge.
- The expanded forehead flap is a versatile option for facial reconstruction.
Observation:
- A novel application of the expanded forehead flap involved dividing it into two vascularized segments.
- One segment, based on the supratrochlear vessels, was used for nasal reconstruction.
- The second segment, based on the frontal branch of the superficial temporal vessel, addressed defects in areas like the periorbital region, zygoma, or lips.
Findings:
- Four patients underwent reconstruction using this dual-segment expanded forehead flap technique.
- All patients achieved satisfactory aesthetic and functional outcomes.
- The method allowed for simultaneous repair of nasal and other facial defects.
Implications:
- This technique offers a single-stage solution for complex nasal and facial defects.
- It expands the reconstructive potential of the expanded forehead flap.
- Further studies may validate this approach for a broader patient population.